Specific Purpose: To inform my audience about the different forms of pain management used during childbirth.
Central Idea: Pain management is an important aspect of childbirth that women need to educate themselves on so they can make an informed decision when choosing which method they will use.
I. You hear screams, moaning, words of insanity; you may feel terrified or overwhelmed with pain.
A. Do you have the flu?
B. No, you’re in labor!
II. Having given birth twice myself, I wanted to learn the pros and con’s of different types of pain management, so I could decide what the best choice was for me and my baby. III. In June of 2005 Dr. William Camann, co-author of the book, Easy Labor states that “Pain management begins with a positive attitude, knowledge and motivation,” and that “The best way to approach labor is with an open mind to ensure the safest outcome for the baby.” IV. Today I would like to share with you what I have learned about Regional anesthesia, Acupuncture, and The Bradley Method, all different options for pain management during childbirth.
(Transition: Let’s start with a popular type of regional anesthia)
I. The epidural block is a form of regional anesthesia and was first introduced in the United States in 1935 and has gained popularity as the procedure became safer. A. It is a fast an easy process that causes both a loss of feeling and a loss of pain from the waste down. 1. It involves an injection of drugs through a catheter that has been placed into part of the spinal canal that is separated from the spinal cord. 2. The epidural catheter is hooked up to a pump which is programmed to slowly infuse either local anesthetic alone or a narcotic/local anesthetic mixture into the epidural space. B. There are known side effects and complications associated with having an epidural.
1. Some of the side effects include confinement to bed, loss of ability to move around actively during labor, increase in fetal malpositions due to being confined to the bed and sudden drop of blood pressure.
2. In 2006 MD.com stated that the most common complication is a block failure, which happens in 1 out of 20 epidurals performed and the rarest complication being death occurring in 1 out of every 100,000.
(Transition: Having an epidural may not be a safe form of pain management, or a personal choice for some women; in that case they may look to a more natural method for easing the pain associated with childbirth.)
II. The Bradley Method was developed in the late 1940’s by Dr. Robert A. Bradley and is a 12 week childbirth education and labor-management process.
A. The Bradley Method views birth as a natural process and believes that most women with proper education, preparation, and the help of a loving and supportive coach can be taught to give birth naturally.
1. It is a simple method of increasing self-awareness, and learning techniques for relaxation during labor and birth, with an emphasis on breathing methods to help you "tune-in" and manage your pain, rather than trying to distract you from it.
2. The Bradley Method encourages mothers to trust their bodies using natural breathing, relaxation, nutrition, exercise, and education.
B. An important aspect of this program is exercising.
1. And on the March of Dimes website I found that in January 2002, the American College of Obstetricians and Gynecologists (ACOG) released new recommendations on exercise during pregnancy and the postpartum period that encourage many more women to get up and get fit while pregnant.
2. A cheap inexpensive aid is the fitness ball, and the two most common positions women choose are sitting which encourages pelvic comfort by allowing the mother to rock and leaning on the ball which takes pressure off of your back.
C. The Bradley Method can be a very effective form of pain...